Floaters: When to Worry and How to Protect Your Eyes - Ophthalmology

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The presence of floaters during the day is quite pronounced?


Hello Doctor, I have been experiencing floaters for a while now, and my myopia is around -3.00 in both eyes.
Recently, I had an examination, and the doctor said my fundus looked normal with no abnormalities.
However, in bright sunlight during the day, I can see not only the most obvious one or two floaters but also small, shimmering, transparent particles that float around, and their quantity is quite significant.
In addition to these small transparent particles, I also notice brief flashes of black (especially around noon and in the evening).
Since the doctor has checked and said everything is fine, I still feel a bit anxious seeing these during the day.
Should I just wear photochromic lenses or sunglasses for protection, or should I schedule another examination? Thank you, Doctor!

denny, 20~29 year old female. Ask Date: 2021/09/28

Dr. Gao Pilin reply Ophthalmology


Hello Denny: The symptoms of floaters are just like that; they are usually visible during the day, especially against brighter backgrounds, such as when looking at the sky or light-colored walls.
If the doctor has examined you and found no issues, you should feel reassured.
Photochromic lenses or sunglasses can help prevent UV damage and are safe to use, but they are not related to floaters.

Reply Date: 2021/09/28

More Info


Hello! Thank you for your question regarding floaters and eye health. It’s understandable to feel concerned about changes in your vision, especially when you have a history of floaters and myopia. Let’s break down your concerns and provide some guidance on how to protect your eyes.


Understanding Floaters
Floaters are tiny spots, lines, or cobweb-like shapes that drift around in your field of vision. They are caused by changes in the vitreous gel that fills your eye, which can become more liquid and allow small clumps of gel or cells to cast shadows on your retina. This is a common occurrence, especially in individuals with myopia (nearsightedness) or as we age.

In your case, since you mentioned that your eye examination showed no abnormalities, it’s likely that your floaters are benign. However, it’s important to monitor any changes. If you notice a sudden increase in the number of floaters, flashes of light, or a shadow in your peripheral vision, you should seek immediate medical attention, as these could be signs of a retinal tear or detachment.


When to Worry
While floaters are usually harmless, there are specific situations where you should be more vigilant:
1. Sudden Increase in Floaters: If you notice a sudden surge in the number of floaters, this could indicate a more serious issue.


2. Flashes of Light: Experiencing flashes of light, especially if they are new, can signal that the retina is being pulled or is at risk of detachment.

3. Loss of Peripheral Vision: If you notice a shadow or curtain effect in your vision, this is a medical emergency.


Protecting Your Eyes
Given your concerns about seeing additional small transparent and black floating objects, here are some recommendations to help protect your eyes:
1. Sunglasses: Wearing sunglasses, especially those that block UV rays, can help reduce glare and protect your eyes from harmful sunlight. Polarized lenses can also help reduce glare from reflective surfaces.

2. Regular Eye Exams: Continue to have regular check-ups with your eye care professional. Even if your last exam showed no issues, it’s good practice to have your eyes checked annually, especially since you have myopia.

3. Healthy Lifestyle: Maintain a healthy diet rich in antioxidants (like vitamins C and E), omega-3 fatty acids, and leafy greens, which can support overall eye health. Staying hydrated is also important.

4. Limit Eye Strain: Take regular breaks when using screens or reading. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Avoid Rubbing Your Eyes: Rubbing can exacerbate irritation and potentially lead to more floaters or other issues.


Conclusion
In summary, while floaters can be concerning, they are often benign, especially if your eye exams have been normal. However, it’s crucial to stay vigilant for any changes in your vision. Wearing sunglasses and maintaining regular eye check-ups are excellent ways to protect your eyes. If you continue to feel uneasy about your symptoms, don’t hesitate to schedule another appointment with your eye doctor for peace of mind. Your eye health is important, and staying informed is key to maintaining it.

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